RAJIV GANDHI NATIONAL UNIVERSITY OF LAW, PUNJAB

(ESTABLISHED UNDER PUNJAB ACT NO. 12 OF 2006)

(ACCREDITED WITH 'A' GRADE BY NAAC)

HOSTEL LEAVE CUM GATE PASS

NAME OF THE STUDENT : RAVI

ROLL NO : 18068

PHONE NO OF FATHER:

PHONE NO OF MOTHER: 9729822323

PHONE NO OF GUARDIAN:

REASON/PURPOSE OF LEAVE: City

DURATION : FROM : 12/11/2022 TO : 13/11/2022

STUDENT HOSTEL DETAILS :

Hostel Name : Boys Hostel Floor Name : Second

Wing : Tagore Hall Room : 319

UNDERTAKING

I hereby undertake that:

1. The above-mentioned facts are true and I have not concealed any other information from the university in
this regard.
2. I have informed my parents/guardians before leaving the university about the reason and duration for this
leave.
3. I shall not indulge in any activity that undermines the reputation of my university or is otherwise in
violation of the university rules and norms.

Signature of the student

NOTE :

1. The hostel leave cum gate pass is not meant for attendance purposes. The student shall submit medical /
moot / sports / any other leave separately for condoning his attendance.
2. The hostel leave cum gate pass is meant only for the hostel records.

Sidhuwal, Bhadson Road, Patiala – 147001 (Punjab)

Phone: 0175-2391600
Fax: 0175-2391690, E-mail: info@rgnul.ac.in, Website: www.rgnul.ac.in